36D2279443 CLIA NUMBER - OHIO CVS STORES, LLC CVS/PHARMACY #07776

Laboratory Demographics

  • CLIA Code: 36D2279443
  • Facility Name: OHIO CVS STORES, LLC CVS/PHARMACY #07776
  • Facility Address: 52 W MAIN ST
    AMELIA, OH
    ZIP 45102
  • Facility Phone: 513 943-6201
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELLY SCHMITT
  • NPI Number: 1902900723
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2279443
LAB Type Pharmacy
Facility Name OHIO CVS STORES, LLC CVS/PHARMACY #07776
Street 52 W MAIN ST
City AMELIA
State OH
ZIP 45102
Phone 513 943-6201
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2025
Certificate Expiration Date 4/2/2027
Facility Type Pharmacy
Lab Director KELLY SCHMITT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025